<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">
        
        <div class="layui-form-item">
            <label class="layui-form-label">姓名</label>
            <div class="layui-input-block">
                <input type="text" name="user_name" class="layui-input"  placeholder="请输入姓名" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">身份证号</label>
            <div class="layui-input-block">
                <input type="text" name="card_no" class="layui-input"  placeholder="请输入身份证号" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">身份证正面</label>
            <div class="layui-input-block">
                <input type="text" name="card_front" class="layui-input"  placeholder="请输入身份证正面" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">身份证背面</label>
            <div class="layui-input-block">
                <input type="text" name="card_back" class="layui-input"  placeholder="请输入身份证背面" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">认证状态</label>
            <div class="layui-input-block">
                {foreach $select_list_status as $k=>$v}
                <input type="radio" name="status" value="{$k}" title="{$v}" {in name="k" value="0"}checked=""{/in}>
                {/foreach}
            </div>
        </div>

        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>

    </form>
</div>